MicroRNAs or Long Noncoding RNAs in Diagnosis and Prognosis of Coronary Artery Disease
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Published on: March 1, 2019
Yuan Zhang1, Lei Zhang1, Yu Wang1
1Institute for Translational Medicine, Qingdao University, Deng Zhou Road 38, Qingdao 266021, China.
Insights
Coronary artery disease (CAD) involves complex changes in heart arteries. Noncoding RNAs, like microRNAs (miRNAs) and long noncoding RNAs (lncRNAs), show promise as diagnostic biomarkers and potential therapeutic targets for CAD.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Biomarker Discovery
Background:
- Coronary artery disease (CAD) arises from atherosclerosis in heart arteries, a complex process involving cellular changes.
- Key cellular alterations in CAD include endothelial cell (EC) dysfunction, vascular smooth muscle cell (SMC) changes, lipid deposition, and macrophage activation.
- While numerous risk markers exist, few offer diagnostic impact or guide patient management.
Purpose of the Study:
- To review the latest research on the molecular mechanisms of microRNAs (miRNAs) and long noncoding RNAs (lncRNAs) in CAD.
- To explore the potential of noncoding RNAs as diagnostic biomarkers for cardiovascular disease.
- To identify novel therapeutic targets for heart disease based on miRNA and lncRNA functions.
Main Methods:
- Literature review of recent studies on noncoding RNAs in cardiovascular pathophysiology.
- Analysis of molecular mechanisms involving miRNAs and lncRNAs in the pathogenesis of CAD.
- Focus on noncoding RNAs found in plasma and other body fluids as potential biomarkers.
Main Results:
- Noncoding RNAs, specifically miRNAs and lncRNAs, are stable in body fluids and implicated in heart and vascular development.
- These noncoding RNAs play crucial roles in the pathophysiology of cardiac conditions like CAD.
- Emerging evidence suggests their potential as reliable biomarkers and therapeutic targets.
Conclusions:
- miRNAs and lncRNAs are integral to the molecular mechanisms underlying CAD.
- Noncoding RNAs represent a promising avenue for developing novel diagnostic tools and therapeutic strategies for coronary artery disease.
- Further research into these molecules could significantly advance the management of heart disease.
Abstract:
Coronary artery disease (CAD) is the result of atherosclerotic plaque development in the wall of the coronary arteries. The underlying mechanism involves atherosclerosis of the arteries of the heart which is a relatively complex process comprising several steps. In CAD, atherosclerosis induces functional and structural changes. The pathogenesis of CAD results from various changes in and interactions between multiple cell types in the artery walls; these changes mainly include endothelial cell (EC) dysfunction, vascular smooth muscle cell (SMC) alteration, lipid deposition and macrophage activation. Various blood markers associated with an increased risk for cardiovascular endpoints have been identified; however, few have yet been shown to have a diagnostic impact or important clinical implications that would affect patient management. Noncoding RNAs, especially microRNAs (miRNAs) and long noncoding RNAs (lncRNAs), can be stable in plasma and other body fluids and could therefore serve as biomarkers for some diseases. Many studies have shown that some miRNAs and lncRNAs play key roles in heart and vascular development and in cardiac pathophysiology. Thus, we summarize here the latest research progress, focusing on the molecular mechanism of miRNAs and lncRNAs in CAD, with the intent of seeking new targets for the treatment of heart disease.
Related Concept Videos
Coronary Artery Disease I: Introduction
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease V: Interprofessional Care
Coronary Artery Disease III: Clinical Manifestations
Coronary Artery Disease IV: Preventive Measures
lncRNA - Long Non-coding RNAs

